Inspection on 16/05/06 for Lothian House Care Home

This inspection was carried out on 16th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lothian House Care Home 15/06/07

Lothian House Care Home 21/11/05

Lothian House Care Home 24/05/05

Lothian House Care Home 15/02/05

Lothian House Care Home 11/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Lothian House Care Home Clyde Terrace Spennymoor Durham DL16 7SG Lead Inspector Belinda Parker Unannounced Inspection 16th May 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lothian House Care Home Address Clyde Terrace Spennymoor Durham DL16 7SG Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01388 811488 01388 811693 Southern Cross Home Properties Limited Jill Carr Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2005 Brief Description of the Service: Lothian House is a registered care home providing personal care and accommodation for up to 48 older persons in the category of (OP). It is owned by Southern Cross Healthcare Properties Ltd and operates within the private sector. The home is located on the outskirts of Spennymoor, County Durham, close to local amenities. It is a two-storey building located in its own well-maintained private grounds that are easily accessible. Personal accommodation and communal areas are provided on both floors. All bedrooms are used as single accommodation giving the home an occupancy level of 47 older persons. Thirty three of the 47 bedrooms ensuite facilities. Service areas located on the ground floor. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 16/05/06 over a period of 7.5 hours. During the day we spoke to service users, staff, the manager and a relative. A number of records where examined and we toured the building. Eight out of ten surveys and 6 comment cards sent out to service users and their relatives prior to the inspection were returned to the Commission for Social Care Inspection. What the service does well: What has improved since the last inspection? The care plans include clear information to show that staff have the necessary information to meet the individual needs of the people who live there. Staff spoken to said the current manager has, “ Turned the home around”. Improving the quality of the service for the benefit of the people who live there. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3. (Standard 6 not applicable) The admission process to the home is clear. Prospective service users and their relatives are involved in the process. This ensures the home can meet the service user’s individual needs. EVIDENCE: Examination of service users’ care plans included evidence to show that a full assessment of need prior to admission is carried out by the home manager. Care plans included evidence to show that service users and their relatives had been involved in the process. A family member spoken to said the manager came and visited her relative in hospital and spent a long time discussing her individual care needs. Surveys received by CSCI prior to the inspection showed that service users were satisfied with the pre-admission process. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7, 8, 9 and 10 The care planning process is clear and consistent in providing staff with the necessary information to adequately meet the needs of service users. Medication in this home is well managed promoting good health for service users. It is clear from observation and discussion that staff and service users have a good rapport and friendly relationship. EVIDENCE: Care plans examined showed that there has been an improvement in crossreferencing information appropriately when completing the monthly evaluation to enable staff to adequately meet the changing needs of service users. Evidence included in care plans showed that service users receive visits from other health care professionals, satisfactorily meeting their individual health needs. A family member spoken to during the inspection said since admission her relative was pleased she had received new spectacles. This had been proving difficult to arrange when her relative lived at home due to her health and mobility problems. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 10 An audit of medication held in the home showed that staff adhere to the policies and procedures for the safe handling and administration of medication. This promotes the health of the people who live in the home. Survey results and comment cards received highlighted that all respondents were in agreement that they received the care and support they needed. Service users’ and relatives spoke positivly about the care and respect given to them by the manager and staff in the home. Comments from service users and relatives included, “ Very happy with the care and support I receive”, “ No hesitation in speaking to manager or staff, very helpful”. We observed the manager explaining to a service user how staff were going to assist her with personal care that morning. Due to hearing problems the manager wrote a note to ensure the service user understood what the staff would do to support her and when. Staff spoken to during the inspection said it is important to treat service service users with respect. A staff member said, “ Service users’ are the most important people in here and should be given choice, respect and support”. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12, 13, 14 and 15 The home provides a fulfilling social life for the people living in the home and out in the community. Visiting is flexible and the home communicates well with people involved in the life of the service. The home satisfactorily meets the dietary needs of service users promoting good health. EVIDENCE: A range of activities is available in the home. The activities co-ordinator said she listens to service users and develops the programme according to the range of interests service users enjoy. On the day of the inspection we observed a quiz. Many service users were actively participating. One service user said this is one of his favourite activities. Another service user spoken to said she enjoys and participates in activities except live music events, which from being young she has never really liked. The service user has made this choice of which the activities co-ordinator is aware of. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 12 Service users this year had been given the opportunity to decide if they wished to go on holiday. A group of four service users are looking forward to going on one weeks holiday with staff support. The holiday has been paid for through active fundraising in the home. The home produces an interesting and informative newsletter in an easy to read format. A service user said, “ I like to know what is going on in the home”. A relative spoken to said she and her family visit regularly and are always made welcome by the home. She particularly likes the friendly atmosphere in the home and staff take time to talk to service users. She said, “ the staff keep her me informed with regard to the changing needs of my relative”. On speaking to service users it was evident that staff give them choices and control within their daily life. Comments from service users included, “ Don’t like live music, but attend other activities”, “I do not like a big breakfast, I just tell the staff what I want”. “I like to sometimes spend time on my own, in my own room”. Many positive comments were made about the quality and choice of food offered in the home. Comments given through discussion or surveys returned included, “The staff know what I like”, “The cook is marvellous”, “Good choice of menu”, “Food good”. A relative spoken to said, “The cook will give residents anything they want”. The dining room is spacious and bright with attractively set tables. Care plans included evidence to show that the dietary needs of individual service users were adequately met by the home. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 The home has a satisfactory complaints policy and procedure in place. To enable the people who live in and visit the home the opportunity to make their views known. Satisfactory systems put in place protect service users from harm or abuse. EVIDENCE: The home has in place a satisfactory complaints procedure. It is evident from discussion with service users, a relative and results of the survey that this procedure has been explained and information is readily available to enable individuals to make their views known. There have been no recorded complaints since the last inspection. In the main foyer the company has comment cards displayed for people to use if they so wish. Service users are protected from harm or neglect through a robust recruitment process and POVA (Protection of Vulnerable Adults) training which staff have attended. During interview staff where able to demonstrate their awareness of the importance of protecting the people living in the home. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 The environment is comfortable, well maintained, safe and accessible for those who live there, work in and visit the home. EVIDENCE: On entering the home it was pleasing to see a bright, airy, accessible and wellmaintained environment. During the day service users were observed moving freely around the home. A relative said she and her family were pleased with the high standard of communal and personal accommodation. Maintenance records examined were up to date ensuring a safe environment for all. A family member spoken to said, “Her relative is safe and happy. Her room is lovely”. On touring the home it was observed to be fresh smelling and free from any offensive odours. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Service users in the home are protected through thorough recruitment processes. And benefit from a good service being delivered by competent and skilled staff. EVIDENCE: Staff duty rotas examined showed that staff are employed in adequate numbers to meet the collective needs of the service users. The manager said she regularly reviews staffing levels according to changing needs of the people living in the home. Staff personnel records examined showed that a thorough recruitment process is followed to ensure the protection of service users living in the home. Training records were available for inspection. Records showed that staff attended mandatory and other training arranged by the company to develop their skills and abilities within their role of responsibility. Staff spoken to were positive towards delivering a good service to the people who live in and visit the home. A new member of staff demonstrated that she had completed a comprehensive induction process prior to commencement of employment. The manager said the company continues to work towards all care staff achieving an NVQ qualification in care. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 The manager has a clear vision for the home which she communicates effectively to the service users, staff and visitors. The home regularly reviews aspects of its performance and Health and Safety management through a good programme of self-review and consultation. EVIDENCE: The manager has achieved the Registered Manager’s Award. This qualification enhances her management skills and professional role in providing a good standard of service delivery. The home has a self-audit and performance monitoring system in place. This process involves service users, staff and relatives in seeking their views on the service delivered. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 17 Financial accounting systems for money held on behalf of service users by the home are satisfactory. Health and safety policies and monitoring systems ensure that service users, staff and visitors are safe and protected from risk of injury. Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 X 3 x x 3 Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lothian House Care Home DS0000000728.V292835.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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